| Jody Wainer Incorporated | |
|
3601 Green Rd Suite 200 Beachwood OH 44122-5725 | |
| (216) 464-6705 | |
| Not Available |
| Full Name | Jody Wainer Incorporated |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3601 Green Rd, Beachwood, Ohio |
| Authorized Official Name and Position | Jody Wainer (PRESIDENT) |
| Authorized Official Contact | 2164646705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Wainer Incorporated 3601 Green Rd Suite 200 Beachwood OH 44122-5725 Ph: (216) 464-6705 | Jody Wainer Incorporated 3601 Green Rd Suite 200 Beachwood OH 44122-5725 Ph: (216) 464-6705 |
| NPI Number | 1184899577 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184899577 | NPI | - | NPPES |
| 10000385 | Other | OH | LICENSED INDEPENDENT SOCIAL WORKER |
| 1558366831 | Other | OH | NPI |
| SW22641 | Other | OH | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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